Table 3.
Extent of patient delay, health care provider delay, referral delay, diagnosis waiting time and total diagnostic delay in cervical cancer diagnosis by selected patient characteristics and other attributes
|
Attributes |
Patient delay |
Health care provider delay |
Referral delay |
Diagnostic waiting time |
Total diagnostic delay |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Median (min- max) | Short delay n (%) | Longer delay n (%) | Median (min-max) | Short delay n (%) | Longer delay n (%) | Median (min-max) | Short delay n (%) | Longer delay n (%) | Median (min- max) | Short delay n (%) | Longer delay n (%) | Median (min-max) | Short delay n (%) | Longer delay, n (%) | |
| Age in years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Less than 50 |
66 (8-306) |
20 (48.8) |
21 (51.2) |
41 (0-372) |
1 (2.4) |
40 (97.6) |
5 (0-49) |
27 (65.9) |
14 (34.1) |
8 (3-40) |
18 (43.9) |
23 (56.1) |
148 (36-622) |
12 (29.3) |
29 (70.7) |
| Fifty or more |
71 (8-404) |
27 (39.1) |
42 (60.1) |
39 (0-582) |
10 (14.5) |
59 (85.5) |
5 (0-88) |
48 (69.6) |
21 (34.4) |
9 (2-57) |
19 (27.5) |
50 (72.5) |
160 (22-718) |
13 (18.8) |
56 (81.2) |
| Education |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Illiterate |
72 (8-353) |
27 (37.0) |
46 (63.0) |
41 (0-582) |
6 (8.2) |
67 (91.8) |
5 (0-88) |
46 (63.0) |
27 (37.0) |
9 (2-57) |
23 (31.5) |
50 (68.5) |
158.7 (25-718) |
13 (17.8) |
60 (82.2) |
| Literate |
48 (9-404) |
20 (54.1) |
17 (49.9) |
21 (0-282) |
5 (13.5) |
32 (86.5) |
3 (0-32) |
29 (78.4) |
8 (21.6) |
8 (3-40) |
14 (37.8) |
23 (62.2) |
143 (22-431) |
12 (32.4) |
25 (67.6) |
| Remoteness (travel time) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Less than 4 hours |
48 (8-274) |
19 (54.3) |
16 (45.7) |
16 (0-282) |
5 (14.3) |
30 (85.7) |
2 (0-18) |
30 (85.7) |
5 (14.3) |
8 (2-57) |
15 (42.9) |
20 (57.1) |
123 (25-376) |
12 (34.3) |
23 (65.7) |
| Four hours and more |
72 (8-404) |
28 (37.3) |
47 (62.7) |
49 (0-582) |
6 (8.0) |
69 (92.0) |
6 (0-88) |
45 (60.0) |
30 (40.0) |
9 (3-38) |
22 (29.3) |
53 (70.7) |
177 (22-718) |
13 (17.3) |
62 (82.7) |
| Types of earlier symptoms |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Vaginal discharge |
71.5 (8-404) |
23 (38.3) |
37 (61.7) |
|
|
|
|
|
|
|
|
|
199 (25-622) |
7 (11.7) |
53 (88.3) |
| Pelvic pain |
62 (9-239) |
12 (48.0) |
13 (52.0) |
|
|
|
|
|
|
|
|
|
146 (36-718) |
9 (36.0) |
16 (64.0) |
| Abnormal vaginal bleeding |
65 (10-304) |
12 (48.0) |
13 (52.0) |
|
|
|
|
|
|
|
|
|
106 (22-403) |
9 (36.0) |
16 (64.0) |
| Chief complaints |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Vaginal discharge |
|
|
|
69 (9-582) |
0 (0.0) |
19 (100.0) |
|
|
|
|
|
|
215 (69-718) |
2 (10.5) |
17 (89.5) |
| Pelvic pain |
|
|
|
38.5 (6-316) |
1 (4.5) |
21 (95.5) |
|
|
|
|
|
|
144 (36-631) |
5 (22.7) |
17 (77.3) |
| Abnormal vaginal bleeding |
|
|
|
25 (0-372) |
10 (14.5) |
59 (85.5) |
|
|
|
|
|
|
153 (22-622) |
18 (26.1) |
51 (73.9) |
| Type of first contact health facilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| SHP/HP/PHC |
|
|
|
72.5 (10-582) |
0 (0.0) |
20 (100.0) |
|
|
|
|
|
|
214 (56-718) |
4 (20.0) |
16 (80.0) |
| Private medical shops |
|
|
|
64 (7-316) |
3 (8.1) |
34 (91.9) |
|
|
|
|
|
|
158 (48-631) |
8 (21.6) |
29 (78.4) |
| Government hospitals |
|
|
|
38 (0-348) |
3 (15.8) |
16 (84.2) |
|
|
|
|
|
|
142 (36-430) |
5 (26.3) |
14 (73.7) |
| Private hospitals |
|
|
|
19 (0-217) |
5 (14.7) |
29 (85.3) |
|
|
|
|
|
|
137 (22-374) |
8 (23.5) |
26 (76.5) |
| Pre-referral consultations with HCP |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Upto three |
|
|
|
11 (0-133) |
8 (42.1) |
11 (57.9) |
|
|
|
|
|
|
112 (22-428) |
6 (31.6) |
13 (68.4) |
| More than three |
|
|
|
49 (6-582) |
3 (3.3) |
88 (96.7) |
|
|
|
|
|
|
160 (25-718) |
19 (20.9) |
72 (79.1) |
| Per-Speculum examination in initial consultation |
|
|
|
|
|
|
|
|
|
|
|
|
|
||
| Yes |
|
|
|
9.5 (0-151) |
8 (33.3) |
16 (66.7) |
|
|
|
|
|
|
108 (22-428) |
9 (37.5) |
15 (62.5) |
| No |
|
|
|
53.5 (6-582) |
3 (3.5) |
83 (96.5) |
|
|
|
|
|
|
168 (36-718) |
16 (18.6) |
70 (81.4) |
| Total | 68.5 (8-404) | 47 (42.73) | 63 (57.27) | 40 (0-582) | 11 (10.0) | 99 (90.0) | 5 (0-88) | 75 (68.2) | 35 (31.8) | 9 (2-57) | 37 (33.6) | 73 (66.4) | 157 (22-718) | 25 (22.7) | 85 (77.3) |